Property | Value |
Name | High Incidence of Adnexal Adhesions Formation After Abdominal Myomectomy Among African Women |
Description | Original research article:- Kemfang Ngowa Jean Dupont (Senior lecturer)1,2, Kasia Jean Marie (Professor)1,2, Nke Zibi H. (Resident)1 , Neng HT. (Resident)1. 1Department of Obstetrics & Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, P.O. Box 1364, Yaounde, Cameroon. 2Yaounde General Hospital, P.O. Box 5408, Yaounde, Cameroon.
Abstract:- Background: Black women are nearly three times as likely as white women to develop uterine fibroids during the childbearing period and usually presents multiple and very large uterine fibroids. Aims: This study aimed to evaluate the adnexal adhesions formation after abdominal myomectomy among African women. Settings and design: Retrospective and descriptive study conducted at Yaounde General Hospital, Cameroon during the period of January 2004 to December 2009. Materials and methods: We reviewed 140 cases of childbearing desirous women who underwent second-look laparoscopy after an abdominal myomectomy at Yaounde General Hospital. Results: Adnexal adhesions were present in 123 (87.85%) patients. The posterior uterine wall incision was associated with more adhesions formation than those on the fundus or anterior wall (100% vs 81.82% vs 88.89%; P 0.035). Myomectomies performed on uterus larger than 14 weeks gestation resulted in significantly higher adhesion scores (22.76% vs 03.25%; P 0.000). The existence of more than two uterine incisions and the presence of adhesions prior to myomectomy were found to result in more severe adhesions (23.57% vs 2.43%; 20.32% vs 2.43%; P 0.000). Conclusions: African women have high incidence of post operative adhesions formation following myomectomy. It will be attractive to evaluate also in these African women the efficacy of a resorbable hydrogel for reduction of post-myomectomy adhesions.
Keywords:- Adnexal, adhesion; myomectomy; African; women. |
Filename | Kemfang Ngowa J.D. et al.pdf |
Filesize | 368.32 kB |
Filetype | pdf (Mime Type: application/pdf) |
Creator | admin |
Created On: | 05/18/2012 00:00 |
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Maintained by | Editor |
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Last updated on | 06/09/2012 08:01 |
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